Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $64.57 / $158.49	Professional		$56.23	$64.57	$158.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $52.48 / $114.82	Professional	26	$21.88	$52.48	$114.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $39.81 / $93.33	Professional	TC	$34.67	$39.81	$93.33
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $158.49 / $426.58	Professional		$29.51	$158.49	$426.58
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $66.07 / $173.78	Professional	26	$12.02	$66.07	$173.78
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $97.72 / $251.19	Professional	TC	$17.78	$97.72	$251.19
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $95.50 / $141.25	Facility	26	$85.11	$95.50	$141.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $97.72 / $218.78	Professional		$34.67	$97.72	$218.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $33.88 / $81.28	Professional	26	$13.18	$33.88	$81.28
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $64.57 / $138.04	Professional	TC	$18.62	$64.57	$138.04
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $239.88	Professional		$218.78	$218.78	$239.88
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $74.13 / $81.28	Professional	26	$74.13	$74.13	$81.28
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $141.25 / $158.49	Professional	TC	$141.25	$141.25	$158.49
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $74.13 / $426.58	Professional		$48.98	$74.13	$426.58
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $39.81 / $213.80	Professional	26	$19.95	$39.81	$213.80
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $42.66 / $275.42	Professional	TC	$28.84	$42.66	$275.42
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $112.20 / $213.80	Professional		$74.13	$112.20	$213.80
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $40.74 / $83.18	Professional	26	$25.70	$40.74	$83.18
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $72.44 / $128.82	Professional	TC	$48.98	$72.44	$128.82
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $199.53 / $275.42	Professional		$125.89	$199.53	$275.42
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $169.82	Facility	26	$100.00	$100.00	$169.82
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $331.13 / $426.58	Professional		$35.48	$331.13	$426.58
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $141.25 / $213.80	Professional	26	$13.49	$141.25	$213.80
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $194.98 / $275.42	Professional	TC	$19.95	$194.98	$275.42
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $138.04	Professional		$53.70	$53.70	$138.04
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $22.39 / $56.23	Professional	26	$22.39	$22.39	$56.23
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $32.36 / $81.28	Professional	TC	$32.36	$32.36	$81.28
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $208.93 / $389.05	Professional		$53.70	$208.93	$389.05
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $22.39 / $104.71	Professional	26	$22.39	$22.39	$104.71
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $32.36 / $154.88	Professional	TC	$32.36	$32.36	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $67.61 / $162.18	Professional		$43.65	$67.61	$162.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $95.50 / $147.91	Professional	26	$26.92	$95.50	$147.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $38.02 / $104.71	Professional	TC	$24.55	$38.02	$104.71

Wisconsin rates for HCPCS 88104